How much rates vary
Facilitymedian $324 · 10th to 90th $191 to $708Professionalmedian $209 · 10th to 90th $112 to $389
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $107.15 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $51.29 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $114.82 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $144.54 | $208.93 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $97.72 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $97.72 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $295.12 | Professional | TC · Technical part | $93.33 | $112.20 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $346.74 | Professional | None | $138.04 | $204.17 | $346.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $38.90 | $61.66 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $131.83 | $213.80 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $758.58 | Facility | None | $190.55 | $302.00 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $831.76 | Professional | None (both parts) | $117.49 | $208.93 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $114.82 Typical High $263.03 | Professional | 26 · Professional part | $46.77 | $114.82 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $151.36 Typical High $602.56 | Professional | TC · Technical part | $64.57 | $151.36 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $407.38 | Professional | None | $208.93 | $208.93 | $407.38 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | 26 · Professional part | $97.72 | $97.72 | $112.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $112.20 | $295.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $218.78 | $363.08 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $45.71 | $162.18 | $323.59 |
United Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $676.08 | Facility | None | $323.59 | $537.03 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $104.71 | $162.18 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $61.66 | $95.50 | $154.88 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $288.40 | $288.40 | $338.84 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $74.13 | $74.13 | $87.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $213.80 | $213.80 | $251.19 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $89.13 Typical High $112.20 | Professional | 52 · Reduced service | $53.70 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $35.48 Typical High $44.67 | Professional | 53 · Discontinued | $21.88 | $35.48 | $44.67 |
Where Iowa sits
The same service costs 3.2 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Iowa· 7th of 51
$219
AK $347NY $107
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.